Healthcare Provider Details
I. General information
NPI: 1861568008
Provider Name (Legal Business Name): SYLVIA FARNAND NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/28/2006
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
990 SOUTH AVE SUITE 104
ROCHESTER NY
14620
US
IV. Provider business mailing address
990 SOUTH AVE SUITE 104
ROCHESTER NY
14620
US
V. Phone/Fax
- Phone: 585-256-3000
- Fax: 585-256-3045
- Phone: 585-256-3000
- Fax: 585-256-3045
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | F420392-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: